Organization
ENHANCED LIVING COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA BARRY LCSW (OWNER)
(801) 608-0061
Entity
Organization
Contact information
Practice address
124 S 400 E, 230, SALT LAKE CITY, UT 84111-2135
(801) 608-0061
Mailing address
124 S 400 E, 230, SALT LAKE CITY, UT 84111-2135
(801) 608-0061
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
280801-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043406267
NPI
UT
01
—
1780967984
NPI
UT
Enumeration date
09/23/2011
Last updated
09/24/2011
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